Mattie covers all things health for Governing. A native of Arkansas, she graduated with her M.S. from Northwestern’s Medill School of Journalism with a focus on public health reporting. Her work has been published in National Geographic, New York Magazine and The Atlantic.

September 1, 2019

Shamed in the Lunch Line

Cold PB&Js for students who can’t pay? Some states are saying no.
August 8, 2019

How Cities Are Bringing 911 Into the 21st Century

Community paramedicine is changing the way some places respond to health emergencies.
August 5, 2019

Lowering Out-of-Pocket Health Costs Isn't Easy. States Have Tried.

Congress is promising to tackle them this year. Can it succeed where states haven't?
August 1, 2019

Is Racism a Public Health Crisis?

One county thinks so.
July 25, 2019

The Drug Epidemic Is Landing More Kids in Foster Care Than Ever

The influx comes at a time when the foster care system is scrambling to adjust to major federal changes.
July 19, 2019

Is Porn a Public Health Crisis? 16 States Say Yes.

In just three years, more than a dozen states have passed resolutions declaring pornography a public health crisis. The research is more complicated.
July 16, 2019

Medicaid Work Requirements Struck Down in a 3rd State

The policy failed another court test, this time in New Hampshire. Despite the rulings, other states are moving forward with work requirements.
July 11, 2019

California Takes Obamacare to a New Level as the Law's Fate Looms

The state is restoring the individual mandate and making an unprecedented effort to help the middle class afford health insurance.
July 8, 2019

One State's Big Leap to Reduce Medicare and Medicaid's Out-of-Pocket Costs

Washington state is going further than any other to cover aging Americans' medical bills.
July 2, 2019

Many Students Are in Crisis. So Is America's School Counseling System.

Counselors say budget cuts have left them unable to respond to students’ mental health needs.
July 1, 2019

After Midterm Wins, Momentum for Medicaid Expansion Slows

Red-state voters supported it in the fall, but Republican lawmakers in other states are still hesitant.
June 27, 2019

How Trump's Plan to Redefine Poverty Would Impact Health Care and Food Stamps

The potential change in the federal poverty line would lower the number of people who qualify for social services by almost 1 million.
June 18, 2019

18 and On Your Own: A New Way to Ease the Transition From Foster Care

Aging out of the system brings tough challenges that states are trying to help young adults overcome.
June 17, 2019

Trump's Immigration Policies Could Take a Toll on Long-Term Care

Immigrants make up a quarter of the long-term care workforce, which struggles with high turnover. Without them, shortages could worsen and make it harder for people to age at home.
June 12, 2019

Who Should Approve Medical Vaccine Exemptions?

Amid concerns over "fake" exemptions, California is debating a bill that would make public health officials sign off on them like they do in other states. Doctors support the legislation, but the Democratic governor has criticized it.
June 3, 2019

Trump Offered States Obamacare 'Relief.' They Don't Want It.

Not a single state has applied for a State Relief and Empowerment Waiver that's meant to lower premiums. Why not?
June 3, 2019

Rising Funeral Costs Put Pressure on Local Governments

Funerals have become a luxury that many Americans can’t afford. Cities and counties are paying the price.
May 31, 2019

One City Invests in Child Care That Parents Can Actually Afford

More people are believed to be relying on family and friends to watch their kids. Minneapolis is helping to educate those informal providers.
May 22, 2019

Report: Babies Are More Likely to Die in States That Didn't Expand Medicaid

Infant mortality rates have dropped in expansion states and risen in nonexpansion states.
May 21, 2019

Public Housing Agencies Oppose HUD's Plan to Evict Immigrant Families

There's a problem with the Trump administration's proposal that Secretary Ben Carson defended before Congress on Tuesday. Local authorities don't want to enforce it.
May 17, 2019

California Set to Expand Health Care to More Undocumented Immigrants After Other States Fail

Gov. Gavin Newsom struck a deal with lawmakers over the weekend.
May 13, 2019

'Medicare for All'? How About 'Medicaid for More'?

On Monday, Washington Gov. Jay Inslee signed the nation's first "public option" health insurance bill. Other states aren't far behind.
May 6, 2019

Most Police Still Don't Carry the Drug That Reverses an Overdose

Due to the high cost of naloxone, only a fraction of the nation’s police departments equip their officers with it.
May 1, 2019

Uncertainty Clouds States' Plans to Import Drugs From Canada

States are receiving mixed messages from the federal government and have unanswered questions about their plans to lower drug prices.
April 25, 2019

Cities Build Homeless Shelters for LGBT Youth

The population experiences homelessness at disproportionate rates.
April 24, 2019

Safe Drug Injection Sites Are Coming to America. Canada Has Had Them for Years.

These clinics have radically changed how addicts are treated and reduced opioid overdoses in other countries. But the U.S. cities trying to open one are facing intense pushback.
April 12, 2019

When Rural Hospitals Close, More Than Health Care Is Lost

At least 95 have closed their doors since 2010, and roughly a quarter of the ones left are at risk of shuttering.
April 10, 2019

Marital Rape Isn't Necessarily a Crime in 12 States

Minnesota and Ohio are weighing whether to repeal loopholes that make it legal to rape your spouse.
March 29, 2019

1 Step Forward, 2 Steps Back for Physician-Assisted Suicide

New Jersey is the eighth state to approve "aid in dying" for terminally ill patients. But similar legislation was defeated in two other states.
March 28, 2019

Undeterred by Medicaid Rulings, States and Trump Advance Work Requirements

Even though a federal judge put the policy's legality in doubt, the Trump administration approved Utah's work requirement waiver on Friday. Meanwhile, Indiana already started phasing them in, and isn't stopping.
March 28, 2019

Poorest Expected to Lose Food Stamps First Under New Rules

The public comment period for the Trump administration's proposal ends Tuesday. Researchers say "hunger will likely increase" if it takes effect.
March 25, 2019

Does Raising the Minimum Wage Save Money on Social Services?

Yes, experts say, but an extra dollar or two an hour won't free low-income people from poverty altogether.
March 20, 2019

After GAO Abortion Report, States Dispute Findings and Defend Violations

The report found 14 states to be in violation of federal Medicaid law as it pertains to abortion coverage.
March 18, 2019

Vaccine Bills Make a Comeback Amid Measles Outbreak

As once-eradicated diseases return, more and more states are debating legislation that would make it harder, or easier, for parents to not vaccinate their kids.
March 6, 2019

For a Glimpse Into Trump's New Era of Title X, Look at Texas

Years before the Trump administration's family planning changes, the state of Texas cut funding from reproductive health clinics. Low-income women felt the impact the most.
March 4, 2019

Opioid Crisis and Syphilis Outbreaks Complicate Trump's HIV Plan

Unless the government gets both issues under control, public health experts say President Trump will never realize his goal of eradicating HIV.
February 27, 2019

The Federal Government Is Overhauling Foster Care. States Aren't Ready.

Everyone agrees that America’s foster care system needs reform. But some worry the new law may do more harm than good.
February 26, 2019

With Title X Funding at Stake, States Join the Legal Battle

Several states have vowed to sue the Trump administration over its new rules that will withhold federal funding from health clinics that provide abortion services or referrals.
February 25, 2019

To Fund Mental Health Care, States and Cities Raise Taxes

Denver may be the first major city where voters approved a tax increase for mental health services. Others have since followed.
February 15, 2019

Pass. Repeal. Repeat: The GOP Cycle of Defying Voters on Medicaid Expansion

In almost every state where ballot measures to expand Medicaid have passed, Republicans have tried to change the voter-approved laws.
February 1, 2019

States Push the Limits of Abortion Rights and Restrictions

While conservative lawmakers push "heartbeat" bills that could challenge Roe v. Wade in court, liberals are pushing legislation that allows late-term abortions during pregnancies with severe health complications.
January 31, 2019

Planning for Detention: How 2 States Help Immigrant Children Stay Out of Foster Care

The parents of at least a quarter of a million kids are at risk of deportation. In case that happens, lawmakers are adding protections -- with bipartisan support -- for the children left behind.
January 22, 2019

Criminal Justice Reform Paves the Way for Welfare Reform

Bipartisan support for reducing recidivism is driving most states to relax or lift the federal ban on drug felons receiving food stamps or cash assistance. Pennsylvania went the other way.
January 22, 2019

Does the Obamacare Case Represent a New Norm for States?

Historically, attorneys general rarely weigh in on health policy or go up against each other in the courtroom over it. Then came the Affordable Care Act.
January 15, 2019

If Shutdown Persists, Can States Fund Food Stamps and Welfare on Their Own?

States are scrambling to figure out how to fund the $4-billion-a-month food stamps program -- and whether to keep cash welfare going. Some say it's "probably not possible."
January 8, 2019

Doctors Don't Have to Tell Patients They're on Probation, Except in One State

California is the first state to require physicians to inform patients about their history of sexual misconduct, overprescribing medications, criminal convictions or substance abuse. Will others follow?
January 7, 2019

Abortion Policies and Cases to Watch in 2019

While the Trump administration mulls over the domestic "gag rule" and state requests to defund Planned Parenthood, abortion bills are making their way through legislatures and courts.
December 21, 2018

To Reduce Fatal Pregnancies, Some States Look to Doulas

New York is set to become the third state Medicaid program to cover pregnancy and birth coaches for low-income women as a way of lowering the maternal mortality rate.
December 18, 2018

With Child Homelessness on the Rise, What Can Schools Do?

"This is something that school districts are just going to have to plan for," says an education official in Washington state, which is proactively helping these students succeed and secure housing.
December 17, 2018

'Ripe for an Outbreak': Vaccine Exemptions Are on the Rise

By many measures, the anti-vaccination movement is thriving. But not in California, which removed nonmedical exemptions after measles spread throughout the state.
December 11, 2018

A Cautionary Tale for the Newly Elected

By the end of her first term, Hawaii state Rep. Lauren Matsumoto was hospitalized for exhaustion from trying to "do it all."
December 10, 2018

Feds Threaten Jail for Opening a Supervised Injection Site in America

The response from city officials: So what? They are pushing forward to open the controversial facilities that exist in other countries as a way to reduce drug overdoses.
December 7, 2018

As Protections for Pregnant Workers Falter in Congress, States Step Up

The 1978 federal pregnancy discrimination law hasn’t kept up with changes in the workplace, and efforts to reform it have failed.
December 4, 2018

Trump's New Immigration Rule Could Threaten Health Care for 6.8 Million Children Who Are U.S. Citizens

There is less than one week left of the public comment period for the proposed "public charge" rule.
November 30, 2018

Trump Administration Gives States New Ways to Rewrite Obamacare

Who gets health insurance subsidies, and how they're used, could drastically change if states take the federal government's guidance released on Thursday.
November 28, 2018

A Potential Turning Point in How Cities Treat the Homeless

A recent federal ruling is driving cities to revisit their local ordinances and methods of reducing homelessness.
November 26, 2018

How a Tiny Office in Ohio Is Transforming Health Care

Some say John Kasich is "the first governor who has been able to move the private sector to really participate in health-care reform."
November 20, 2018

Year of the Woman? Not So Fast.

An expert on women in politics dissects the 2018 midterms.
November 16, 2018

During Obamacare Enrollment in the Trump Era, States Face Greater Challenges

With less federal funding for outreach and advertising, and no more tax penalty for being uninsured, it's harder to convince people to sign up for health care.
November 13, 2018

'The Single Biggest Risk Factor in Getting Expelled Is Being a Preschooler'

Preschoolers are eight times, on average, more likely to get kicked out. States are starting to notice and intervene.
November 7, 2018

What the Midterms Mean for Health Care

The trajectory of health policy -- from Medicaid to abortion to soda taxes -- is set for change in some states.
November 7, 2018

Voters Just Say No to Tampon Taxes and Higher Cigarette Taxes

But on the issue of grocery taxes, voters in the Pacific Northwest were divided.
November 7, 2018

Red-State Voters Opt for Obamacare

In the first referendum on the law since Congressional Republicans tried and failed to repeal it, three out of four states voted to expand Medicaid.
November 7, 2018

Universal At-Home Care Measure Dies

In Maine, which has a greater share of older residents than any other state, voters rejected a ballot measure that would have provided free long-term care to anyone who needs it.
November 6, 2018

A Bad Night for Abortion Rights

Alabama and West Virginia voters preemptively criminalized abortion in case Roe v. Wade is struck down. But voters in Oregon defeated an attempt to restrict coverage.
November 6, 2018

Voters Overwhelmingly Reject Patient Limits for Nurses

Massachusetts would have been the second state with nurse-to-patient ratio requirements.
November 6, 2018

Pregnant, With Twins, on the Campaign Trail

Virginia state Rep. Jennifer Carroll Foy reflects on her first year in office and how she got there.
November 5, 2018

As Medicaid Work Requirements Spread, More Expected to Lose Health Care

Wisconsin just got approval to implement the new rule, and it will take effect in two other states in January. Meanwhile, more than 8,000 people have lost health insurance in Arkansas -- many who may comply with the rule but not know about it.
October 24, 2018

Treating Childhood Trauma Becoming a Public Policy Priority

States and cities are trying to use science to create better policies and programs. New federal foster care rules are complicating their efforts.
October 23, 2018

'This Was a Concerted Effort to, Dare I Say, Keep a Black Woman Down'

St. Louis Treasurer Tishaura Jones reflects on her loss in the mayor's race and what she's been doing since.
October 10, 2018

Trump Administration Releases Final Rule for Legal Immigrants Using Public Benefits

It is not as strict as the leaked version but would still drastically limit what benefits they could use without risking green cards or permanent residency status.
October 9, 2018

'You Should Be at Home With Your Son'

Jackie Biskupski is the first openly gay elected official in Utah. But her sexual orientation isn't what her critics want to talk about.
October 8, 2018

This Is What Happens When a City Shuts Down Mental Health Clinics

This country has never had an effective public policy toward mental illness. In Chicago, things seem to be getting even worse.
October 3, 2018

Hookah Bars Face Public Health Crackdown

The lounges have often fallen through loopholes in local smoking bans. That's starting to change.
September 27, 2018

As Sexual Harassment Reforms Stall in Congress, Statehouses Take the Lead

Since the #MeToo movement started, state lawmakers have been taking more action than their federal counterparts to prevent and address workplace sexual harassment.
September 26, 2018

'There Will Be Evictions': New Smoking Ban Roils Public Housing's Oldest Residents

The rule, which is projected to save states $150 million a year, went into effect this summer.
September 19, 2018

How a Rural Region in the South Cut Its Infant Mortality Rate in Half

Babies die at higher rates in the U.S. than in poorer countries like Cuba and Poland.
September 6, 2018

New School Year, New Mental Health Lessons: 2 States Now Require It

States are starting to integrate mental health into their curriculum -- whether it's English or biology class.
September 4, 2018

How the Midterms Could Impact Medicaid

The elections come at a crucial time for health care.
August 30, 2018

America’s Coroners Face Unprecedented Challenges

Already short-staffed and underfunded, these offices have been hit hard by the opioid crisis.
August 29, 2018

'Section 8 Need Not Apply': States and Cities Outlaw Housing Discrimination

Landlords often reject applicants who use public assistance to help pay their rent.
August 21, 2018

With Opioids, Police Move Beyond Arrest-First Approach

Instead, they’re connecting drug abusers to substance treatment and other resources.
August 17, 2018

Trump's New Immigration Rule Could Hurt Obamacare Markets

Health policy experts say that the anticipated proposal could have negative ripple effects across the health-care system.
August 14, 2018

As States Battle Trump's Health Plan Changes, Signs of Obamacare Stability Show

Health policy experts worry that the controversial plans the Trump administration is pushing could undo some of the progress being made with Obamacare premiums.
August 8, 2018

On Health Matters, Cities Increasingly Go to Court

Cities used to stay out of courtroom battles over health. Not anymore. Their new Obamacare lawsuit represents a growing strategy.
August 6, 2018

On Drug Prices, Trump Administration Sends Mixed Messages

It has accepted one state's unprecedented proposal to lower the cost of prescriptions but rejected another's.
July 31, 2018

Religious Liberty Amendment Alarms Foster Care Advocates

Before it goes on vacation, the U.S. Senate could significantly cut child welfare funding in states with anti-discrimination policies protecting LGBT people who want to adopt or foster.
July 31, 2018

Hygiene Equity Goes Beyond Tampon Taxes

States are making products for women and children -- particularly those in prison or poverty -- more affordable.
July 26, 2018

Not Just Massachusetts: 10 Other States Have Abortion Bans Still on the Books

With the future of Roe v. Wade uncertain, the state is on the verge of repealing its 173-year-old law that criminalizes abortion. Similar efforts are underway in some other states.
July 24, 2018

'It's the New Form of Affordable Housing': More People Are Living in Their Cars

With rents on the rise, cities are grappling with a growing population of "vehicular homelessness" -- a way of life considered illegal in many places.
July 23, 2018

As Federal Medicaid Money Fades, How Are States Funding Expansion?

Many are tapping into tax revenues, making hospitals help, or adding work requirements and premiums to account for their increasing share of the expansion bill. In some, the debate is so heated that it's ended up in court.
July 13, 2018

A New Use for Food Trucks: Feeding Hungry Students in the Summer

Instead of making low-income kids travel for meals when school is out, Minneapolis is bringing the food to them.
July 11, 2018

Unions Could No Longer Get Medicaid Money Under New Trump Proposal

The federal government wants to roll back an Obama-era rule that lets some Medicaid payments go toward unions that represent home health care workers -- one of the fastest-growing and lowest-paid jobs.
July 10, 2018

Black, Female and Serving the Public: A Conversation With the Lawmaker Fighting Statehouse Discrimination

Ohio Rep. Emilia Sykes gets stopped by security trying to enter her place of work. She wants others to share their stories of prejudice.
July 5, 2018

After Medicaid Ruling, Most States Hit Pause But Some Proceed

Work requirements failed their first court test, in Kentucky. The case leaves the legality of other states' policies uncertain, but some of them are moving forward with business as usual anyway.
June 29, 2018

After Supreme Court Shake-Up, These State Abortion Laws Could Challenge Roe v. Wade

The retirement of Justice Anthony Kennedy increases the likelihood of extreme restrictions passing legal scrutiny.
June 26, 2018

California Abortion Ruling Puts Other States' Laws in Doubt

Supreme Court justices on Tuesday sided with anti-abortion groups in a case over what information crisis pregnancy centers have to give patients.
June 21, 2018

The Female Mayor Who Doesn't Want to Talk About Being a Woman

At least she didn't used to. Now, she says, times have changed.
June 18, 2018

The Limits to Trump's Medicaid Freedom for States

The president promised to give states more flexibility on health care. His administration has -- but with some restrictions.
June 12, 2018

Amid Opioid Crisis, Drug Take-Backs Gain Popularity

A change in federal law lets more than just law enforcement agencies collect unused and unwanted pills.
June 8, 2018

Is Your City Helping You Be Healthy? The Rankings Are In.

"Your mayor, city council and city manager has just as much of an impact on your health as your doctor," say the authors of a new report.
June 4, 2018

'Medicaid-for-All' Rapidly Gains Interest in the States

More than a dozen states either have or are still considering the idea of letting people buy Medicaid -- regardless of how much money they make.
May 30, 2018

Virginia Just Voted to Expand Medicaid. These States Could Be Next.

The issue will likely be moving to the ballot box this November.
May 22, 2018

For Future Health Policies, Trump Administration Adds a Rural Focus

The federal government's new plan is short on details, but it makes one thing clear: It will ease regulations that burden rural providers -- many of whom are struggling to survive.
May 22, 2018

Her Accusations Ended His Political Career. Here's What She Wants You to Know Now.

"I have fantastic male colleagues who stood by me and defended me," says Colorado Rep. Faith Winter.
May 18, 2018

Trump's New Abortion Proposal Politicizes a Historically Bipartisan Program

Federal money already can't be spent on abortions. The Trump administration now wants to keep any funds from going to organizations that support the procedure.
May 9, 2018

As Other States Have Abandoned Efforts, New Jersey Passes Individual Mandate

Several states promised to pass their own mandates. Only one has. What happened?
May 8, 2018

How Women Can Win Their Races This Year

Gender equity advocates are excited about the prospect of a record number of women running for office. But Erin Vilardi, founder of VoteRunLead, says running isn't good enough.
May 7, 2018

States Want Control Over Drug Prices. Will the Feds Give It to Them?

In an attempt to lower health-care costs, Massachusetts is seeking to exclude certain drugs from its Medicaid program. It's a bold step, experts say, that will not only invite imitation but also lawsuits.
May 2, 2018

Loneliness May Be a Bigger Public Health Threat Than Smoking or Obesity

Governments are just starting to confront the issue.
May 1, 2018

Uber to the ER?

Ambulances are expensive. Some cities are beginning to offer other ways to get to the hospital.
April 26, 2018

The Opioid Crisis' Side Effect That Anyone Can Feel

Dirty needles left behind by drug users have become so prevalent in parks that some public health agencies are leaning on citizens to clean them up.
April 25, 2018

6 Months Since Trump Declared an Opioid Emergency, What's Changed?

Some health officials say nothing. Members of Congress, meanwhile, are taking matters of money for the drug crisis into their own hands.
April 24, 2018

She's a Social Worker First, Mayor Second

Rosalynn Bliss says social work keeps her grounded as a politician. That, and meditation.
April 16, 2018

Assisted Living: A $10 Billion Industry With Little Oversight

It’s largely up to states to regulate these facilities -- many of which don’t even employ full-time nurses.
April 12, 2018

Trump's New Obamacare Rules Give States More Power. Will They Take It?

The new rules are designed to reduce premiums, but health policy experts say they will have little effect.
April 10, 2018

The Woman Leading Hollywood's Prosecution of Powerful Men

Jackie Lacey says she didn't realize how tough she was until she ran for Los Angeles County District Attorney.
April 9, 2018

After Shootings and Hurricanes, Where Are the School Counselors?

With both kinds of traumatic events on the rise, school counselors can't keep up with the demand for mental health services.
April 5, 2018

Doctor-Assisted Suicide Now Legal in 6 States

At a time when the aid-in-dying movement is suffering elsewhere, Hawaii Gov. David Ige signed a bill on Thursday giving terminally ill residents the option.
April 3, 2018

Abortion Coverage? For Public Employees, It's Hard to Get.

With Wisconsin Gov. Scott Walker's signature on Tuesday, almost half the states now ban government workers' insurance from covering abortion services.
March 30, 2018

Republicans Lead Medicaid Expansion Push in 2 Holdout States

Utah and Virginia are both closer than ever to making more low-income people eligible for free or low-cost health care. What made them change their minds?
March 28, 2018

Despite Idaho's Failed Plan to Dodge Obamacare, Another State Tries

The Trump administration rejected Idaho's attempt to offer health insurance that doesn't follow Obamacare rules. Iowa thinks it has a new strategy that will win federal approval.
March 19, 2018

Can Taxing Pain Pills Alleviate the Opioid Epidemic?

President Trump will announce new plans for fighting the opioid crisis on Monday. Meanwhile, several states are exploring their own new policy: tax drug companies for the opioids they produce.
March 14, 2018

Where the Pay Gap Between Male and Female Doctors Is Biggest

On average, female doctors made $105,000 less than male doctors last year, and the gender pay gap actually increased.
March 13, 2018

Why Mississippi Might Want to Be Sued Over Abortion

When the governor signs what will be the nation's strictest abortion ban, lawsuits are expected. Some say that was the point.
March 9, 2018

Teen Suicide Rates Are Rising

The stats are most troubling in Utah and among boys, whose suicide rate had been on the decline for almost two decades.
March 8, 2018

Should Government Pay People to Make Good Decisions?

A health crisis in Alabama led officials to an unconventional solution: Hand out cash to change citizen behavior.
March 5, 2018

State Efforts to Bring Back Obamacare's Individual Mandate Stall

Despite early enthusiasm, even the most liberal states are struggling to get enough support to restore the health insurance requirement that Congress repealed in December.
March 1, 2018

Parkland's State Representative: Something Has to Happen

On the night of the mass shooting, Kristin Jacobs was in the room as parents received news about missing children. "If you were in that room," she says, "how could you let nothing happen?"
February 28, 2018

Trump Administration Can Revoke States' Right to Regulate Obamacare, But Will It?

The federal government's response to Idaho's unprecedented plan to ignore parts of the federal health law could have ripple effects throughout the country.
February 26, 2018

Months Late, Trump Administration Changes Family Planning Program's Priorities

Clinics and health departments won't get more Title X funding until months after last year's money will have expired, and organizations like Planned Parenthood have new reason to worry they might get less.
February 23, 2018

Bipartisan Group of Governors Outline Health Care Compromise, Again

They are calling on the Trump administration to, among other things, restore subsidy payments and support more state reinsurance programs.
February 21, 2018

What Will You Do to Fix Our Mental Health Care System?

That’s what many Iowans, home to the state with the fewest mental health beds, are asking candidates for governor.
February 19, 2018

Implementing States' Medicaid Wishes Won't Be Cheap

As the Trump administration lets states experiment with work requirements and other eligibility rules, the costs are adding up. Some policy experts worry they are "shifting spending from health care for needy families to administrative bureaucracy."
February 13, 2018

Other Lawmakers 'Would Say They Had Shoes Older Than Me'

Susana Mendoza was just 28 years old when she was first elected. Now she oversees how her former colleagues are spending their state's money.
February 9, 2018

Spending Deal Ends Uncertainty for Health Programs -- But at Cost to CDC

After a four-month standoff, and a brief shutdown on Friday, Congress will provide long-term relief to community health centers and programs that help at-risk parents and low-income families.
February 6, 2018

How Far Will the Right-to-Die Movement Go?

More states may legalize physician-assisted suicide for terminally ill patients. But even where it is allowed, some doctors still refuse to offer it.
February 2, 2018

As Congress Stalls, Community Health Centers Face Closure or Cuts

The failure to pass a long-term federal budget is hurting clinics that largely serve low-income and rural areas. States aren't offering any relief.
January 30, 2018

How a Local Alabama Official Works to Empower the Poor

“I grew up believing that’s what you do, that when a problem arises it’s your civic duty to step in and fashion a solution for your community."
January 25, 2018

Are Work Requirements for Medicaid Doomed?

The first lawsuit fighting the Trump-approved policy was filed this week. If a court sides with opponents, work requirements could be dead before they even begin.
January 22, 2018

Shutdown and Children's Health Insurance Saga Come to an End

President Trump signed a short-term spending bill on Monday evening that ends the government shutdown and reauthorizes CHIP for six years.
January 16, 2018

'When You Fire Up a Black Woman, She Doesn't Go to the Polls Alone'

Activist Glynda Carr discusses the growing political power of black women.
January 12, 2018

Work Requirements May Be Just the Beginning of Medicaid Changes Under Trump

States have requested to enact several other unprecedented policies. Kentucky on Friday reportedly became the first to get its waiver approved.
January 11, 2018

4 Health Programs (Other Than CHIP) That Congress Has Left in Limbo

Programs that aid the opioid epidemic, medically underserved areas and at-risk mothers and children also have uncertain futures.
January 8, 2018

STD Rates Reach Record High

The rise of sexually transmitted diseases is challenging public health departments.
January 8, 2018

Drug Addicts Could Soon Get Their First Safe Haven in America

Supervised injection facilities, which only exist in other countries, encounter roadblocks everywhere they're proposed in the U.S. But as the opioid epidemic rages on, one might open this year.
January 1, 2018

In Cybersecurity Fight, Governments Leave Hospitals Behind

When hackers target hospitals, the consequences can be dire. Yet hospitals have little help preventing or responding to such attacks.
December 25, 2017

These Tourism Campaigns Will Make You Scratch Your Head -- or Plan a Visit

Some cities and states have to get creative to market themselves.
December 22, 2017

Maternity Wards Are Disappearing From Rural America

As rural hospitals struggle to keep their doors open, the high cost of ob-gyn wards makes them one of the first things cut.
December 18, 2017

Health Care News You May Have Missed in 2017

Although it seemed like it at times, Obamacare wasn't the only health policy up for debate this year.
December 12, 2017

Will 2018 Really Be a Big Year for Women in Politics? An Expert Weighs In.

Debbie Walsh says the wave of women elected this year is a sign of bigger things to come.
December 11, 2017

Spending Deal Offers Short-Term CHIP Relief, But Uncertainty Looms

The bill signed by President Trump helps states keep the Children's Health Insurance Program afloat, but it doesn't offer any reassurance that kids won't lose their health care in 2018.
December 4, 2017

Maine's Obamacare Vote Revives Expansion Debate in Some States

Last month's election has re-energized Obamacare advocates. Meanwhile in Maine, the matter is being complicated by Gov. Paul LePage, who has vowed not to implement an expansion until lawmakers show how they'll fund it.
November 21, 2017

The Women Leading the First Study of Diversity in State and Local Government

"Most local governments are run by white men, so there hasn’t needed to be a conversation about what diversity looks like."
November 17, 2017

Amid Opioid Crisis, States Start Embracing Alternative Medicine

Some aren’t just covering yoga and acupuncture but recommending it before prescription drugs.
November 17, 2017

As Congress Stalls on Children's Health Insurance, States Warn of Cuts

It's been almost two months since Congress let what's historically been a bipartisan program expire.
November 13, 2017

The Opioid Files: Hundreds of States and Cities Are Suing Drug Companies

Lawsuits are being filed practically every week. Will governments prevail over the pharmaceutical industry like they did the tobacco industry in the 1990s?
November 7, 2017

In Victory for Obamacare, Maine Voters Expand Medicaid

The vote signals support for the health-care law at a time when President Trump is taking major steps to reverse it.
November 7, 2017

Pharmaceutical Industry Scores Another Election Victory

A year after California voters rejected what would have been a first-of-its-kind state law to regulate drug prices, Ohioans did the same.
November 7, 2017

First She Was 'The Facebook Lady.' Now She's the Mayor.

Marian Orr, the first female mayor of Cheyenne, Wyo., exemplifies the power of social media.
November 3, 2017

How Tuesday's Elections Could Impact Health Care

Voters could alter the future of Medicaid, drug prices and abortion in their states.
October 27, 2017

Are Doctors Finally Ready for Data?

The medical field has been reluctant to adopt technology. There are reasons to believe that’s changing.
October 25, 2017

States Where Obamacare Premiums Are Increasing Most

Amid uncertainty over the law's future, premiums will rise an average of 34 percent next year. In a few states, though, they'll actually go down.
October 25, 2017

CHIP Isn't the Only Program for Children and Babies That Congress Let Expire

With future federal funding uncertain, states may freeze enrollment in a program that helps at-risk parents care for their newborns.
October 24, 2017

HHS Secretary or Not, Seema Verma Could Redefine Medicaid

She helped craft Mike Pence’s conservative approach to expanding Medicaid in Indiana. Now, the CMS administrator is one of President Trump's top contenders to replace Tom Price.
October 18, 2017

Maine's Medicaid Vote a Test of Obamacare Support

If passed, the state would become the 33rd to expand Medicaid and signal support for Obamacare at a time when President Trump is taking major steps to reverse it.
October 17, 2017

Chris Gregoire on the "Bloodsport" of Politics

In a new podcast interview, the former two-term Washington governor says the lack of women in public office is her "biggest pet peeve."
October 13, 2017

Despite Trump's Health-Care Changes, He's Keeping Obama's Opioid Strategy

With no end to the epidemic in sight, the feds are helping some states treat more addicts.
October 9, 2017

California Leads Push to Lower Drug Prices

The state passed the nation's most comprehensive law to make drug prices more transparent. It has also inspired other states to take on the pharmaceutical companies in November.
October 3, 2017

Las Vegas Shooting Strains Nevada's Doctor Shortage, Prompts Medical Emergency

The state has one of the lowest resident-to-physician ratios in the country, which puts it in a uniquely vulnerable position to respond to large-scale emergencies.
October 3, 2017

For This Politician, Poverty Is Personal

Kanika Tomalin's roots help her understand economic issues better than your average public official.
October 2, 2017

Want to Climb the Corporate Ladder? Some Say Work in Government First.

Jane Swift, former governor of Massachusetts, believes having public-sector experience is the quickest way to get ahead in the private sector -- especially for women.
September 29, 2017

Congress Lets CHIP Expire, and States Scramble

Some states are already preparing to freeze enrollment or cut off children's health insurance as they face the near possibility of running out of money for the program.
September 28, 2017

The Return of the Doctor House Call

The once-antiquated practice is making a comeback -- and saving states money. But it's not without hurdles.
September 19, 2017

Attica Scott Is Tired of Being the 'Angry Black Woman'

The first black woman elected to the Kentucky state House in almost 20 years says she gets the label sometimes for simply speaking her mind.
September 15, 2017

5 Obamacare Changes States Want, Ranked From Most to Least Likely to Pass

Although many governors oppose the latest repeal bill, it has some of what they've asked for.
September 13, 2017

States With the Highest and Lowest Uninsured Rates

Obamacare's fate remains unknown, but at least one thing is certain: The law has led to a record number of people having health insurance.
September 7, 2017

How Much Health-Care Freedom Should Trump Give States?

More flexibility could make it easier to adopt industry-backed reforms. It could also let conservatives enact policies that Obama rejected.
August 31, 2017

Governors Offer Their Plan to Fix Obamacare. Will Congress Listen?

Kasich and Hickenlooper released a bipartisan set of recommendations on Thursday, but observers predict their influence will only go so far.
August 29, 2017

New Federal Tampons Rule Follows States and Cities' Flow

A federal memo calls for feminine hygiene products to be free for inmates, energizing a movement that began in state prisons and local jails.
August 24, 2017

The City Councils Where Women Are Least Represented

New York City prides itself on being the epicenter of progressive politics -- and yet, it has one of the nation's worst gender gaps in city politics.
August 21, 2017

Rural America Gets Creative to Attract Much-Needed Doctors

"Training in 'the sticks,' sticks," says one medical professional. But first, rural areas have to get doctors there.
August 16, 2017

For the Future of Anti-Abortion Laws, Look to Missouri

Health policy experts say other conservative states often follow Missouri's lead on abortion measures. This year, the state passed several never-before-seen regulations.
August 14, 2017

What Does the National Opioid Emergency Mean for States and Cities?

There are still some major unanswered questions about Trump's declaration.
August 8, 2017

As Health Departments Expand Their Role, Can They Keep Up With Basic Services?

The conflicts playing out in one North Carolina county could be plaguing other places.
August 4, 2017

How Health Policy Experts Would Fix Obamacare

And what they want states to do while Congress tries.
July 31, 2017

Is America Talking About Opioids the Wrong Way?

The current drug crisis is different from previous ones. Some say it requires a new mode of thinking.
July 26, 2017

Trump Administration Pulls Cities' Funding for Obamacare Enrollment

Health policy experts say the move could further destabilize the market.
July 24, 2017

Talking Politics With an Expert on Women in Politics

Jennifer Lawless is optimistic about the wave of women thinking about running for office -- but only tepidly.
July 16, 2017

White House Lobbies Governors on Latest Health Bill, But They're Not Buying It

The Trump administration's attempt this weekend to win their support didn't go as planned.
July 11, 2017

As Demand for At-Home Care Grows, States Debate How to Pay for It

Most states can't meet baby boomers' demand for staying out of nursing homes.
July 10, 2017

The Tragic Struggle to Prevent Infant Mortality

Even in cities that have tried to address the problem, babies are still dying at high rates for a developed nation.
July 10, 2017

28 and Mayor of Her Hometown

Blair Milo is used to being underestimated because of her age and gender. She doesn't let it stop her from running a city.
July 3, 2017

As the Drug That Reverses Opioid Overdoses Gets More Expensive, Can Cities Afford It?

Baltimore is already rationing its use.
June 26, 2017

Rachel Levine on Being a Transgender Public Official in America

There are certainly challenges, says Pennsylvania's physician general, but "eventually people will just judge us based off our qualifications and the work we do."
June 19, 2017

After Passing Several Innovative Health Policies, Nevada Reaches Its Limit: Medicaid for All

While Congress is gridlocked on health care, the state's GOP governor and Democratic legislature have been busy finding common ground -- til now.
June 19, 2017

The Woman Who's Paid to Talk Trash

As public works director for Phoenix, Ginger Spencer is trying to make her city the most sustainable in the world.
June 12, 2017

Can States Do Anything to Keep Health Insurers From Leaving?

Ohio and Missouri now have dozens of counties without an insurer. Other states are trying to prevent a similar situation, but their actions can only go so far.
June 5, 2017

The Marketing Strategy for Unhealthy Products: Racially Profile

Tobacco and soda companies disproportionately target minority citizens and lawmakers with advertising and lobbying. One city is fed up.
June 1, 2017

When the School Nurse Is on a Screen Instead of in an Office

Some schools are using telemedicine to provide health care to students in underserved districts. But few think it’s a cure for their ailments.
May 25, 2017

How Trump's Health Budget Would Impact States

Medicaid, children's health insurance and chronic disease programs would be first to feel the weight of the president's proposals.
May 17, 2017

On Rx Drug Monitoring, States Take Doctors' Recommendations

Every state but one has a tracking system to combat the opioid epidemic. They have long been criticized as difficult to use, but upgrades are on their way.
May 15, 2017

6 States Hoping to Revamp Medicaid in the Trump Era

The Obama administration rejected many conservative politicians' attempts to alter the health-care program for the poor. With Trump in the White House, they may finally get their way.
May 15, 2017

The Woman in Charge of the World's 6th Largest Economy

Betty Yee has no small task.
May 12, 2017

Houston Steers Cities Into Reducing 'Red Lights and Sirens'

Most 911 calls don't actually require a trip to the hospital. Instead, telemedicine can do the trick, and Houston's system is catching on among the country's paramedics.
May 8, 2017

Can Raising the Minimum Wage Cut Medicaid Costs?

Pennsylvania's governor is using that logic to persuade lawmakers to adopt the nation's highest minimum wage. Not everyone is convinced.
May 2, 2017

From 'Sidewalk Lady' to America's First Latina Lt. Governor

Evelyn Sanguinetti's career in politics all started with a bad fall.
May 1, 2017

Alaska's Plan for Lowering Obamacare Premiums Spreads to the Mainland

The idea will likely attract more attention if the Trump administration agrees to fund it.
May 1, 2017

A Look Back on Obamacare With the People Who Implemented It

Politicians and health-care leaders were asked what they learned while carrying out one of the industry's biggest overhauls.
May 1, 2017

Why Texas Is the Most Dangerous U.S. State to Have a Baby

Maternal mortality rates have been increasing throughout the nation. But if Texas was a country, it would have the highest in the developed world.
April 20, 2017

Feds Help Localities Discover Where HIV and Housing Intersect

People who have HIV and lack stable housing are less likely to get the care they need. Some places are trying to solve both problems at once.
April 17, 2017

The Woman Who Pushed Boston to Be a Leader in Paid Family Leave

As the city's council president, Michelle Wu has shattered several glass ceilings.
April 14, 2017

In Defunding Planned Parenthood, States Don't Always Follow Party Lines

President Trump and congressional Republicans want to strip federal funding from clinics that provide abortions. But not every GOP governor will help.
April 14, 2017

As Local Food Movement Grows, Who's Policing the Produce?

Many cities and states have made commitments to support and promote farm-to-table food. But few have fraud protections in place to make sure people are eating truly "local."
April 3, 2017

The First -- and Still Only -- African-American Elected to a County Office in Minnesota

Since taking office more than a decade ago, Toni Carter has made her mark on Ramsey County.
March 29, 2017

Failed Health Bill Fuels New Momentum for Expanding Medicaid

In the days since Republicans killed their health-care plan, support for one of Obamacare's central policies has grown in states where the GOP has stunted it for years.
March 22, 2017

The Future of Health Care Is Outside the Doctor's Office

States are increasingly investing in community health workers to improve their residents' health.
March 20, 2017

Coming Soon to America: Places for Addicts to Safely Shoot Up

As the opioid epidemic rages on, public officials are being forced to consider controversial ways to curb it. In Seattle, that means opening the nation's first supervised injection facility.
March 20, 2017

'Public Health Saved Your Life Today. You Just Didn’t Know It.'

That's the mantra of Dr. Leana Wen, the health commissioner of Baltimore and our guest for the latest episode of "The 23%: Conversations With Women in Government."
March 17, 2017

Syphilis Rate Among Newborns Reaches Highest Level in Years

The disease was nearly eradicated around 2000 but has been on the rise since 2012. Health officials partially blame the opioid epidemic.
March 9, 2017

GOP Governors Are Unimpressed With GOP Health-Care Plan

From blunt criticism to cautious optimism, not a single governor has given the House bill a full-throated endorsement.
March 6, 2017

The GOP Wants to Give States More Medicaid Power. This Is What They May Do With It.

Seven health-care policies you could see more of if the Affordable Care Act is replaced.
March 3, 2017

Why Feds Withhold Money From the Most Vulnerable Hospitals

The places that treat the poorest and sickest often fail to meet safety standards. Some say the penalties need to be adjusted.
March 1, 2017

NEW PODCAST: The 23%: Conversations With Women in Government

For our first episode, we talked to someone who mixes politics with reality TV. And, no, it isn't Donald Trump. Listen now.
February 21, 2017

How Some Places Are Easing the Often-Fatal Transition From a Psych Ward

People with mental illness are far more likely to commit suicide in the months after a hospital stay.
February 21, 2017

Has Expanding Medicaid Made People Healthier?

The research is exhaustive and yet simultaneously scarce. In some cases, it's even contradictory.
February 10, 2017

A Bipartisan Model for Lowering Obamacare Premiums?

Some policy experts think Minnesota has one, but it could be a tough sell for lawmakers in other states.
February 8, 2017

Universal Pre-K Is Hard to Find and Harder to Fund

The states and cities expanding early education have wrestled with the question of what qualifies as "universal."
February 6, 2017

Amid Obamacare and Planned Parenthood Uncertainty, Some States Scramble to Protect Women's Health

Democratic lawmakers are trying to make sure women have affordable access to birth control and abortion -- regardless of what Congress and the Trump administration does.
January 25, 2017

Should Religious Leaders Help Close Mental Health Care's Gap?

Particularly in rural areas, governments are increasingly turning to them to ease the shortage of providers, blurring the line between religion and medicine.
January 23, 2017

State Budgets Aren't Accounting for Obamacare Repeal

In planning their finances for the year, governors are counting on health care to remain the same. But if it doesn't, states could suddenly be on the hook for billions of dollars.
January 13, 2017

Where GOP Governors Stand on 'Repeal and Replace'

The Obamacare debate puts them in a tough spot and for many, up against their Republican counterparts in Congress.
January 13, 2017

More Than a Haircut: Barbershops Are Hubs for Social Change

Governments and nonprofits are increasingly looking to neighborhood barbers and hairdressers to help with problems at home and narrow gaps in education and health care.
January 11, 2017

The Walking Cure: How Oklahoma City Lost 1 Million Pounds

Pedestrian-friendly cities are healthier cities, which is why many are making it easier for residents to ditch their cars.
January 9, 2017

For the Poorest and Sickest, Librarians Often Play Doctor

Libraries are frequently forced to deal with people's health problems. That's why some are adding medical professionals to their staff.
December 20, 2016

Obama's Protection Does Little to Ease Women's Health Fears

Like much of the president's policies, his most recent rule on funding for abortion providers may not matter once Donald Trump takes the White House.
December 15, 2016

Without Michelle Obama, What Will Happen to 'Let's Move'?

The first lady's signature initiative helped more than 500 municipalities address obesity. Now that she's leaving the White House, the future of the program is uncertain.
December 6, 2016

Vermont Takes a Health Risk That Many States Abandoned

When states tried the all-payer model decades ago, it largely didn't live up to its cost-cutting goals. But Vermont is taking a slightly different approach.
December 1, 2016

Amid Opioid Crisis, Needle Exchanges Are Losing Their Stigma

The idea that needle exchanges encourage illegal drug use is fading just as rapidly as the programs are expanding.
November 30, 2016

To Reduce Infant Mortality, U.S. Cities Adopt the Finland Way

Unlike America, which has one of the highest infant mortality rates of developed countries, Finland has one of the world's lowest.
November 22, 2016

Electronic Health Reforms Left Babies Behind

With most newborn screenings still done on paper, there’s a born-again push to improve and speed up the process for detecting health problems.
November 18, 2016

Why So Few Kids Are Getting the HPV Vaccine

"Most places don’t like to think about teens having sex." But that's not the only reason.
November 15, 2016

In States Now Under GOP Control, What's Next for Health Care?

Republicans gained power in several states last week, clearing the way for some to more easily restrict abortion and roll back other reforms.
November 9, 2016

Marijuana Legalized for Fun in 4 More States and Medicine in 4 Others

Only one state's voters rejected easing access to the drug.
November 9, 2016

Single-Payer Health Care Takes a Big Hit at the Ballot

Despite Bernie Sanders' campaigning, Colorado voters overwhelmingly rejected plans to make their state the first in America to create a universal health-care system.
November 9, 2016

Drug Companies Score a Big Election Victory

The industry spent millions of dollars to keep voters in California from passing a first-in-nation law that was meant to cut the soaring cost of prescription drugs.
November 9, 2016

Voters Just Say No to Higher Cigarette Taxes in All But 1 State

Californians were the only to agree to raise the price of tobacco. Will it impact smoking rates?
November 9, 2016

Condoms-in-Porn Rule Dies at the Ballot Box

It's a win for the porn industry and the state of California, which stood to lose millions of dollars if the measure passed.
November 8, 2016

Colorado Strengthens Physician-Assisted Suicide Movement

The right to die has been slow to gain momentum, especially among voters. In Colorado, they defied the odds.
November 1, 2016

Obamacare Premium Hikes to Hit Rural Americans the Hardest

Within states, rural areas often face higher premiums than their urban counterparts. Yet two of the most rural states saw some of the lowest premium increases this year.
October 25, 2016

Why's It So Hard to Connect Health to Social Factors?

One of the goals of President Obama's signature health reform is to focus more on population health, but the programs are off to a slow start.
October 12, 2016

Tennessee’s Free College Program Is Popular, But Will It Succeed?

As states consider following Tennessee’s footsteps, they’ll be closely watching its experience.
October 11, 2016

On Medicaid, States Won't Take Feds' No for an Answer

Even though the federal government has repeatedly rejected certain health-care requests, many Republican-led states keep asking for them.
September 28, 2016

Rural America Finally Gets Mental Health Help

People in remote areas have long lacked access to mental health services. The movement to fix that is showing signs of life.
September 27, 2016

A New Kind of Paramedic for Less Urgent 911 Calls

Community paramedicine, which can drastically reduce unnecessary ER visits, could be the future of emergency care.
September 14, 2016

Does Starting School After Labor Day Help or Hurt Students?

Extending summer break may be good for the economy, but there are unintended consequences.
September 13, 2016

States With the Highest (and Lowest) Uninsured Rates

The rates range from 2.8 percent to 17.1 percent.
September 6, 2016

Why Health-Care Monopolies Shouldn't Worry Most Consumers

More than 30 percent of the country, up from 4 percent last year, could have just one carrier to choose from this fall.
August 29, 2016

Fighting Zika, Keeping 4 Million People Healthy and Telling Public Health's 'Story'

A Q&A with Umair Shah, director of one of the nation's biggest public health departments.
August 29, 2016

Pregnant in Prison? Some States Deliver Doulas

In a small but growing number of states, expectant inmates are getting help dealing with the trauma of giving birth and then having to say goodbye.
August 23, 2016

Meningitis Outbreaks Among Gay Men Baffle Health Officials

Officials don't know why the disease is disproportionately impacting gay men in big cities. They're getting the CDC involved to find out.
August 17, 2016

Puerto Rico's Rescue Plan Represents a Troublesome Trend, Economists Say

It's the latest government to rewrite the rules for getting out of fiscal distress.
August 16, 2016

Is Abstinence-Only Sex Ed on the Rise?

More states are rejecting federal funding for evidence-based sex education. That could mean a return of abstinence-only instruction in many schools.
August 15, 2016

A Blueprint for Merging Health and Housing Under One Roof

Boulder County, Colo., pioneered the movement. What can others learn from their experience?
August 9, 2016

Some States Spend Big to Attract Medical Tourists

Lawmakers are pouring millions of dollars into making their states a destination for patients around the world. Will their investments pay off?
August 2, 2016

Your Peer Will See You Now: A New Kind of Mental Health Care

States are increasingly pairing mental health and substance abuse patients with peer specialists -- people who have experienced some of the same problems themselves.
July 29, 2016

New Zika Cases Show U.S. Cities' Struggle Without Federal Funding

After Congress left cities to fend for themselves, four new cases -- possibly the first to be contracted by mosquitoes in the U.S. -- suggest how difficult it is for them to combat the virus on their own.
July 26, 2016

With Hospitals in Critical Condition, Can Rural America Survive?

The worrisome state of rural health care has led many to wonder.
July 19, 2016

Obamacare-Created Insurers Take the Feds to Court

In an effort to survive, several of the remaining health co-ops are fighting the landmark law. Unlike most legal challenges to it, they may actually have a case.
July 13, 2016

A Broader View of Public Health

Baltimore is at the forefront of a movement to expand public health's arena to include social ills such as gun violence and drug addiction.
July 12, 2016

Surprise! Emergency Care Isn't Always What It Seems

Freestanding ERs have been around for years. But only recently have they become profit-focused, deceptive places of care.
July 5, 2016

21 States Aren't Taking Proven Steps to Prevent Overdoses

New studies show that the main weapon against opioid overdoses is showing promise, but states could be doing more to save lives.
June 30, 2016

How Jails Are Violating the Law

Most corrections facilities detain mentally ill people instead of providing them with timely care.
June 27, 2016

5 States Where the Abortion Ruling Could Spur More Lawsuits

The U.S. Supreme Court struck down abortion restrictions in Texas on Monday, making it likely that other states will see challenges to their own reproductive laws.
June 23, 2016

Congress Refuses, So California Will Study Gun Violence

In the wake of another mass shooting and amid congressional inaction on gun control, the state has announced plans to open the nation's first public research center dedicated to firearm violence.
June 21, 2016

California's Dream of Expanding Health Care to All Immigrants

If California soon becomes the first state to let undocumented immigrants use the health insurance marketplace, will others follow?
June 10, 2016

Medicaid Expansion Can Have Impacts Beyond State Borders

One state's rejection of Medicaid expansion can hurt health-care systems in another state, according to a new study.
June 7, 2016

Air Ambulances, an Unregulated Lifeline, Cost $80,000 for Some Patients

Federal law bans states from regulating air ambulance companies, leaving patients with exorbitant out-of-pocket medical bills.
June 3, 2016

Forget the Sunscreen? It's Free Now in Some Cities.

From coast to coast, governments are teaming up with nonprofits to fight one of the most common yet most preventable kinds of cancer.
May 26, 2016

Study Could Boost Fizzled Efforts to Tax Soda

Despite many failed attempts, only one city in America taxes sugary drinks. The results of a new study might change that.
May 23, 2016

Black, Gay and HIV Positive: A Long-Neglected Group

Alarming infection rates bring more attention to treatment in communities of color.
May 17, 2016

In Abortion Wars, the Opposition May Have New Tactics

Anti-abortion advocates have allegedly found stealthier ways to shut down clinics.
May 10, 2016

How California Keeps Health Premiums Down Like No Other State

Shrinking competition has many states worried about rising insurance prices. California has the tools to handle it better than most.
May 3, 2016

UnitedHealthcare's Exit Leaves Monopolies in Many Places

Less competition typically means higher prices for consumers. But that isn’t necessarily true in the case of health insurance exchanges.
May 2, 2016

New Rules Could Ease Rural America's Health-Care Problems

A sweeping Medicaid change has the potential for states to address the dangerous shortage of doctors outside urban and suburban areas.
April 26, 2016

Congressional Inaction Hinders Public Health Fight Against Zika

With more cases cropping up by the day, local governments have to act quickly -- and without help from the federal government.
April 25, 2016

Making a Drug More Available to Save Addicts' Lives

There's a growing movement to make the drug that can reverse overdoses widely available at pharmacies, police departments and schools.
April 20, 2016

Maryland Governor Opens Up About His Battle With Cancer

The governor talks about what it's like to juggle chemotherapy with the business of running a state.
April 19, 2016

Long-Term Care Facilities Lack Oversight, Advocates Say

Assisted living facilities have become more popular in recent years, but abundant closures and lax state regulations have led to more calls for new regulations.
April 12, 2016

New Obamacare Program May Make Medical Homes More Common

The model of care is proven to improve health outcomes and save billions of dollars, but it hasn't been widely embraced. A new initiative could change that.
April 5, 2016

Change in Tribal Health Care Relieves States' Financial Burden

The federal government is changing the way it reimburses states for Native Americans' health care. The implications could be big -- and not just for Native Americans.
April 1, 2016

Governments Struggle to Root Out Fake Minority Contractors

States and cities want to support women- and minority-owned businesses. But they often don’t know who they’re really paying.
March 31, 2016

Obama Finalizes New Mental Health Rules for Medicaid

The new rules could create an influx of patients with mental health and substance abuse issues in states that are already struggling to meet the current demand.
March 15, 2016

Undeterred by Failure, GOP States Still Fighting Obamacare

States are spending millions fighting the law that courts uphold almost every time.
March 15, 2016

Why Thousands of Doctors Still Don't Use Electronic Records

With federal incentives to go electronic expiring this year, many wonder what can be done to reach physicians who still rely on paper.
March 14, 2016

Puerto Rico’s Health-Care Crisis Threatens the Mainland

Puerto Rican immigrants -- many of them sick and in need of care -- are flocking to the states in unprecedented numbers. New York has volunteered to help the island, but it may not be able to.
March 10, 2016

Federal GMO Labeling Bill Would Trump State Laws

The Safe and Accurate Food Labeling Act is just a Senate vote away from the president's desk.
March 8, 2016

Have States Found a Middle Ground on Reproductive Rights?

There's a growing movement -- even in some conservative states with strict abortion regulations -- to make birth control more accessible.
March 1, 2016

Alzheimer's Care Struggles to Meet Demands

States are starting to consider the problems with Alzheimer's care more seriously. But they have a long way to go.
February 25, 2016

Battling the Blues in Rural America

Like most rural areas, Alaska suffers from high rates of mental illness and a deficiency of mental health providers. The state may have a solution.
February 24, 2016

Amid TB Outbreak, Alabama Pays Resisters to Get Tested

When people refused -- sometimes violently -- to help health officials contain an outbreak of tuberculosis in rural Alabama, the state resorted to paying people to get tested. Did it work?
February 22, 2016

Obama Rejects Governors' Pleas to Limit Painkillers

In their meeting with the president Monday, a bipartisan group of governors sought his help in their fight against prescription drug abuse.
February 16, 2016

The Imminent Death of Smoking in Public Housing

The federal government wants to ban smoking in public housing nationwide. It could save millions of dollars, but that doesn't allay some cities' concerns.
February 16, 2016

Telemedicine Advances Faster Than States Can Keep Up

The explosion of online health-care apps and providers has forced states to face tough questions -- many of which they have yet to find an answer to.
February 12, 2016

The Latest Tax Battle in States Is Over Tampons

Bills to make feminine hygiene products tax-exempt have been introduced in several states this year. So far, the legislation has already failed in one.
February 4, 2016

Simple Steps Should Stop Zika From Spreading in the U.S.

As fears of the virus rise in America, public health departments are ramping up their efforts to educate the public and eradicate the mosquitoes that spread it.
February 2, 2016

In Sex Education, U.S. Schools Are Failing

Most schools aren't meeting the CDC's recommendations for teaching students about sex, and the curriculum is far worse in some states.
January 22, 2016

Bernie Sanders Wants the Health Plan His Own State Rejected

The presidential candidate wants America to create a single-payer health system -- something no U.S. state has done before.
January 19, 2016

5 States Shaking Up Health Care in 2016

They're either debating or have already made big changes to their health-care programs for the poor.
January 14, 2016

A More Personalized Approach to Reducing Infant Mortality

Facing one of the highest infant mortality rates in the country, Columbus, Ohio, is taking the time to understand its unique causes.
January 11, 2016

Addicted and Pregnant: How States Deal With Drug Problems When You're Expecting

Roughly 1 in 20 pregnant women use illicit drugs. States are cracking down on the problem with starkly different approaches.
January 5, 2016

Unlike Zoos, Public Health Departments Don't Need National Accreditation

But at least one state is leading the charge to change that.
December 24, 2015

Not-So-Happy Holidays in the Emergency Room

There are a number of reasons emergency rooms get chaotic around the holidays -- some of which may be surprising.
December 15, 2015

Haircuts and Health Care: How Governments Try to Get the Uninsured Covered

States and cities spent this enrollment season finding creative ways to reach the millions who still have no health insurance.
December 7, 2015

Why Abortion Clinics Are Also Closing in Blue States

Planned Parenthood gets most of the attention in the abortion debate. But independent clinics and their employees actually provide the majority of abortions in America -- and are more at-risk.
December 2, 2015

The Nation's First Firehouse Where People Can Get Flu Shots

Reflecting a broader trend of merging health care with other services, a city in California recently opened a clinic next to a firehouse.
December 1, 2015

Anti-Obamacare South Warms to Medicaid Expansion

Most Southern states have refused for years to make more people eligible for government health care. But a few governors may change that.
November 19, 2015

In 35 States, Young People Are Dying From Drug Overdoses at Double the Rate

The rate has increased in every state in the last decade, yet few are doing much to prevent it.
November 17, 2015

Will Ferguson Redefine Public Health?

To address the underlying issues that led to the unrest in Ferguson, Mo., local leaders are expanding the traditional role of public health departments.
November 17, 2015

To Many's Surprise, Obamacare Barely Budged ER Wait Times

Critics and supporters predicted that the federal health law would have a huge impact on the time it takes to see a doctor. Turns out they were both wrong.
November 12, 2015

In Rare Move, a U.S. State Comes to Puerto Rico's Aid

Facing a health-care crisis on top of financial troubles, Puerto Rico is getting help from the mainland. But why would New York come to Puerto Rico's rescue?
November 4, 2015

In School Funding Fight, Voters Choose to Do Nothing

Mississippi voters, facing two competing (and confusing) ballot questions on school quality, chose to make no changes to the state constitution.
November 3, 2015

Why Health Insurers Are Closing in So Many States

Co-ops were created to keep the cost of insurance down on Obamacare marketplaces. Now half of them are going out of business.
October 23, 2015

Parents Fill Public Health Gaps in Schools

In a county with more than 50 districts, schools are putting parents in charge of tackling problems that may have otherwise been ignored. It may be a model for other municipalities.
October 20, 2015

Let's Talk About Sex ... and Senior Citizens

As STD rates rise among the elderly, health-care providers and public health departments continue to shy away from discussing their sexual health. Is it time for a sexual revolution?
October 9, 2015

NYC Gets Personal (and Particular) About Birth Control

It's the first municipality to center an awareness campaign around intrauterine devices, the most effective form of birth control that few women choose. Will others follow?
October 6, 2015

Medicaid Has Great Responsibility Without Great Power

Since its inception 50 years ago, Medicaid has become one of the nation's biggest government programs. But most states don't treat it as such.
September 28, 2015

Coding Countdown Causes Medical Mayhem

After a two-year delay, U.S. hospitals have to start using a new coding system in October -- a move that could hurt rural and smaller hospitals particularly hard.
September 22, 2015

Obesity Rates Stop Increasing But Still Worrisome

More than 20 percent of people in every state are obese, with the rate exceeding 35 percent in three states.
September 18, 2015

Government Finds a New Business to Regulate: Exercise

Several places, including the nation's fittest city, want to regulate personal trainers. Is the new push about safety or boosting public revenue?
September 16, 2015

The 5 States With the Biggest Drop in Uninsured Rates

They all have at least one thing in common.